| VA | SB238 | Veto | Health insurance; coverage for contraceptive drugs and devices. Requires health insurance carriers to provide coverage, under any health insurance contract, policy, or plan that includes coverage for prescription drugs on an outpatient basis, for con...
[Detail][Text][Discuss] | 2024-05-17
Governor: Vetoed by Governor |
| VA | HB819 | Veto | Health insurance; coverage for contraceptive drugs and devices. Requires health insurance carriers to provide coverage, under any health insurance contract, policy, or plan that includes coverage for prescription drugs on an outpatient basis, for con...
[Detail][Text][Discuss] | 2024-05-17
Governor: Vetoed by Governor |
| VA | SB660 | Pass | Health insurance; pharmacy benefits managers; reporting requirements; civil penalty. Provides that a person that violates the existing requirement to obtain a license prior to providing pharmacy benefits management services or otherwise acting as a p...
[Detail][Text][Discuss] | 2024-04-08
Governor: Acts of Assembly Chapter text (CHAP0626) |
| VA | SB87 | Pass | Health insurance provider panels; incentives for mental health services. Allows a provider panel contract between a carrier and a primary care provider to include provisions that promote comprehensive screening using evidence-based tools for mental ...
[Detail][Text][Discuss] | 2024-04-05
Governor: Acts of Assembly Chapter text (CHAP0575) |
| VA | HB1019 | Pass | Health insurance for local employees. Permits any locality to allow participation in its group health insurance program by any non-benefitted employee, including members of governing bodies, if such non-benefitted employee or governing body member is...
[Detail][Text][Discuss] | 2024-04-05
Governor: Acts of Assembly Chapter text (CHAP0541) |
| VA | HB1433 | Pass | Line of Duty Act; eligible dependent. Provides that for purposes of continued health insurance pursuant to the Line of Duty Act, an eligible dependent means the natural or adopted child or children of a deceased person or disabled person or of a dece...
[Detail][Text][Discuss] | 2024-04-05
Governor: Acts of Assembly Chapter text (CHAP0560) |
| VA | HB218 | Pass | Health insurance; health care provider panels; continuity of care. Requires a provider to continue to render health care services to any of the carrier's enrollees who have an existing provider-patient relationship with the provider for a period of a...
[Detail][Text][Discuss] | 2024-04-04
Governor: Acts of Assembly Chapter text (CHAP0377) |
| VA | SB118 | Pass | Health insurance; coverage for doula care services. Requires health insurers, corporations providing health care subscription contracts, and health maintenance organizations whose policy, contract, or plan includes coverage for obstetrical services t...
[Detail][Text][Discuss] | 2024-04-04
Governor: Acts of Assembly Chapter text (CHAP0495) |
| VA | HB935 | Pass | Health insurance; coverage for doula care services. Requires health insurers, corporations providing health care subscription contracts, and health maintenance organizations whose policy, contract, or plan includes coverage for obstetrical services t...
[Detail][Text][Discuss] | 2024-04-04
Governor: Acts of Assembly Chapter text (CHAP0460) |
| VA | HB123 | Pass | Health insurance; ethics and fairness in carrier business practices. Makes various changes to requirements governing the business practices of health carriers in the processing and payment of claims. The bill prescribes criteria for what constitutes ...
[Detail][Text][Discuss] | 2024-04-02
Governor: Acts of Assembly Chapter text (CHAP0270) |
| VA | SB98 | Pass | Health insurance; prior authorization. Requires that any provider contract between a carrier and a participating health care provider contain specific provisions that require that if a prior authorization request is approved for prescription drugs an...
[Detail][Text][Discuss] | 2024-04-02
Governor: Acts of Assembly Chapter text (CHAP0338) |
| VA | HB591 | Pass | Commonwealth Health Reinsurance Program; payment parameters. Requires the State Corporation Commission, in setting the payment parameters for the upcoming benefits year, to set such payment parameters at levels designed to achieve the premium reducti...
[Detail][Text][Discuss] | 2024-04-02
Governor: Acts of Assembly Chapter text (CHAP0293) |
| VA | HB1134 | Pass | Health insurance; prior authorization. Requires that any provider contract between a carrier and a participating health care provider contain specific provisions that require that if a prior authorization request is approved for prescription drugs an...
[Detail][Text][Discuss] | 2024-04-02
Governor: Acts of Assembly Chapter text (CHAP0320) |
| VA | SB543 | Pass | Health insurance; emergency services; mobile crisis response services. Provides that emergency services, with respect to an emergency medical condition, include, as it relates to any mental health services or substance abuse services rendered at a be...
[Detail][Text][Discuss] | 2024-04-02
Governor: Acts of Assembly Chapter text (CHAP0360) |
| VA | HB1402 | Pass | Health insurance; pharmacy benefits managers; reporting requirements; civil penalty. Provides that a person that violates the existing requirement to obtain a license prior to providing pharmacy benefits management services or otherwise acting as a p...
[Detail][Text][Discuss] | 2024-04-02
Governor: Acts of Assembly Chapter text (CHAP0329) |
| VA | HB238 | Pass | Health insurance; coverage for colorectal cancer screening. Requires health insurers to provide coverage for examinations and laboratory tests related to colorectal cancer screening in accordance with the most recently published recommendations estab...
[Detail][Text][Discuss] | 2024-03-28
Governor: Acts of Assembly Chapter text (CHAP0181) |
| VA | HB601 | Pass | Health insurance; emergency services; mobile crisis response services. Provides that emergency services, with respect to an emergency medical condition, include, as it relates to any mental health services or substance abuse services rendered at a be...
[Detail][Text][Discuss] | 2024-03-28
Governor: Acts of Assembly Chapter text (CHAP0199) |
| VA | HB1210 | Pass | Health Insurance Reform Commission; assessment of certain legislation. Requires the Health Insurance Reform Commission, whenever the Chairman of the House Committee on Labor and Commerce or the Senate Committee on Commerce and Labor requests that the...
[Detail][Text][Discuss] | 2024-03-28
Governor: Acts of Assembly Chapter text (CHAP0219) |
| VA | SB425 | Pass | Health insurance; ethics and fairness in carrier business practices. Makes various changes to requirements governing the business practices of health carriers in the processing and payment of claims. The bill prescribes criteria for what constitutes ...
[Detail][Text][Discuss] | 2024-03-28
Governor: Acts of Assembly Chapter text (CHAP0244) |
| VA | HB114 | Pass | Health Insurance Reform Commission; membership. Adds two legislative members to the Health Insurance Reform Commission. The bill requires one such member to be a member of the House Committee on Appropriations who is appointed by the Speaker of the H...
[Detail][Text][Discuss] | 2024-03-20
Governor: Acts of Assembly Chapter text (CHAP0098) |
| VA | SB132 | Pass | Health Insurance Reform Commission; assessment of certain legislation. Requires the Health Insurance Reform Commission, whenever the Chairman of the House Committee on Labor and Commerce or the Senate Committee on Commerce and Labor requests that the...
[Detail][Text][Discuss] | 2024-03-08
Governor: Acts of Assembly Chapter text (CHAP0036) |
| VA | SB499 | Engross
Sine Die | Donor human milk banks, health insurance; coverage for donor human milk; penalty; emergency. Prohibits any person from establishing or operating a donor human milk bank, as defined in the bill, without first obtaining a license from the State Health ...
[Detail][Text][Discuss] | 2024-02-28
Tabled in Appropriations (22-Y 0-N) |
| VA | HB760 | Intro
Sine Die | Health insurance; cost-sharing payments for insulin and diabetes equipment and supplies; limit. Decreases the cap on the cost-sharing payment that a covered person is required to pay for a covered prescription insulin drug from $50 to $35 for a 30-da...
[Detail][Text][Discuss] | 2024-02-13
To House Labor and Commerce Committee |
| VA | HB513 | Intro
Sine Die | State plan for medical assistance services and health insurance; pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Directs the Board of Medical Assistance Ser...
[Detail][Text][Discuss] | 2024-02-13
To House Labor and Commerce Committee |
| VA | HB1006 | Intro
Sine Die | Health insurance; pharmacies; freedom of choice; delivery of prescription drugs or devices. Prohibits an insurer, health maintenance organization, corporation providing preferred provider subscription contracts, or pharmacy benefits manager from impo...
[Detail][Text][Discuss] | 2024-02-13
To House Labor and Commerce Committee |
| VA | HB1136 | Intro
Sine Die | Health insurance; employee welfare benefit plans; pharmacy audit protections. Requires contracts and provider contracts between an entity providing or administering self-insured or self-funded employee welfare benefit plans and an intermediary or a p...
[Detail][Text][Discuss] | 2024-02-13
To House Labor and Commerce Committee |
| VA | HB560 | Intro
Sine Die | Health insurance; coverage option for fertility services; essential health benefits benchmark plan. Requires health insurance policies, subscription contracts, and health care plans to offer and make available coverage for the diagnosis and treatment...
[Detail][Text][Discuss] | 2024-02-13
To House Appropriations Committee |
| VA | HB946 | Intro
Sine Die | Health insurance; limit on cost-sharing payments for prescription drugs under certain plans. Requires each carrier that offers a health plan in either the individual or small group market to ensure that at least 50 percent of all health plans offered...
[Detail][Text][Discuss] | 2024-02-13
To House Labor and Commerce Committee |
| VA | HB903 | Intro
Sine Die | Health insurance; cost-sharing requirements for the treatment of cancer; prohibited for individuals 18 years of age or younger. Prohibits any (i) insurer proposing to issue individual or group accident and sickness insurance policies providing hospit...
[Detail][Text][Discuss] | 2024-02-13
To House Labor and Commerce Committee |
| VA | HB902 | Intro
Sine Die | Health insurance; coverage for contraceptive drugs and devices. Requires health insurance carriers to provide coverage, under any health insurance contract, policy, or plan that includes coverage for prescription drugs on an outpatient basis, for any...
[Detail][Text][Discuss] | 2024-02-13
To House Labor and Commerce Committee |
| VA | HB1142 | Intro
Sine Die | Health insurance; coverage for physical therapy; outpatient visit limit. Prohibits (i) insurers proposing to issue individual or group accident and sickness insurance policies providing hospital, medical and surgical, or major medical coverage on an ...
[Detail][Text][Discuss] | 2024-02-13
To House Labor and Commerce Committee |
| VA | HB1347 | Intro
Sine Die | Health insurance; coverage for autism spectrum disorder; cost-sharing requirements prohibited for certain individuals. Prohibits a health carrier from imposing any copayment, coinsurance, or deductible for the diagnosis of autism spectrum disorder an...
[Detail][Text][Discuss] | 2024-02-09
To House Appropriations Committee |
| VA | HB610 | Intro
Sine Die | Health insurance; coverage for diabetes. Requires that each insurer providing coverage for diabetes shall include benefits for FDA-approved insulin, continuous blood glucose monitoring, and regular foot care and eye care exams in addition to equipmen...
[Detail][Text][Discuss] | 2024-02-09
To House Appropriations Committee |
| VA | HB1347 | Intro
Prefile | Health insurance; coverage for autism spectrum disorder; cost-sharing requirements prohibited for certain individuals. Prohibits a health carrier from imposing any copayment, coinsurance, or deductible for the diagnosis of autism spectrum disorder an...
[Detail][Text][Discuss] | 2024-02-09
To House Appropriations Committee |
| VA | HB610 | Intro
Prefile | Health insurance; coverage for diabetes. Requires that each insurer providing coverage for diabetes shall include benefits for FDA-approved insulin, continuous blood glucose monitoring, and regular foot care and eye care exams in addition to equipmen...
[Detail][Text][Discuss] | 2024-02-09
To House Appropriations Committee |
| VA | SB335 | Intro
Sine Die | State plan for medical assistance services; health insurance; coverage for fertility preservation treatments. Directs the Board of Medical Assistance Services to amend the state plan for medical assistance services to include a provision for payment ...
[Detail][Text][Discuss] | 2024-02-08
Incorporated by Education and Health |
| VA | HB1041 | Intro
Sine Die | Health insurance; cost-sharing; pharmacy benefits managers' compensation and duties: civil penalty. Amends provisions related to rebates provided by carriers and health benefit plans to health plan enrollees by defining "defined cost-sharing," "price...
[Detail][Text][Discuss] | 2024-02-08
To House Labor and Commerce Committee |
| VA | HB1041 | Intro
Prefile | Health insurance; cost-sharing; pharmacy benefits managers' compensation and duties: civil penalty. Amends provisions related to rebates provided by carriers and health benefit plans to health plan enrollees by defining "defined cost-sharing," "price...
[Detail][Text][Discuss] | 2024-02-08
To House Labor and Commerce Committee |
| VA | HB230 | Intro
Sine Die | Health insurance; cost sharing for breast examinations. Prohibits health insurance carriers from imposing cost sharing for diagnostic breast examinations and supplemental breast examinations, as those terms are defined in the bill, under certain insu...
[Detail][Text][Discuss] | 2024-02-05
To House Appropriations Committee |
| VA | HB230 | Intro
Prefile | Health insurance; cost sharing for breast examinations. Prohibits health insurance carriers from imposing cost sharing for diagnostic breast examinations and supplemental breast examinations, as those terms are defined in the bill, under certain insu...
[Detail][Text][Discuss] | 2024-02-05
To House Appropriations Committee |
| VA | SB735 | Intro
Sine Die | Health insurance; denial of referral by direct primary care provider prohibited. Prohibits a health insurance carrier from (i) denying payment for any health care service covered under an enrollee's health benefit plan based solely on the basis that ...
[Detail][Text][Discuss] | 2024-02-05
To Senate Commerce and Labor Committee |
| VA | SB735 | Intro
Prefile | Health insurance; denial of referral by direct primary care provider prohibited. Prohibits a health insurance carrier from (i) denying payment for any health care service covered under an enrollee's health benefit plan based solely on the basis that ...
[Detail][Text][Discuss] | 2024-02-05
To Senate Commerce and Labor Committee |
| VA | HB864 | Intro
Sine Die | Health insurance; coverage for therapeutic day treatment services. Requires health insurers providing health care plans to provide coverage for therapeutic day treatment services for children with serious emotional disturbances, defined in the in bil...
[Detail][Text][Discuss] | 2024-02-01
To House Labor and Commerce Committee |
| VA | HB864 | Intro
Prefile | Health insurance; coverage for therapeutic day treatment services. Requires health insurers providing health care plans to provide coverage for therapeutic day treatment services for children with serious emotional disturbances, defined in the in bil...
[Detail][Text][Discuss] | 2024-02-01
To House Labor and Commerce Committee |
| VA | HB921 | Intro
Sine Die | Health insurance; cost sharing for breast examinations. Prohibits health insurance carriers from imposing cost sharing for diagnostic breast examinations and supplemental breast examinations, as those terms are defined in the bill, under certain insu...
[Detail][Text][Discuss] | 2024-01-25
Incorporated by Labor and Commerce |
| VA | HB445 | Intro
Sine Die | Health insurance; dental plans; approval of rates and medical loss ratio. Requires the State Corporation Commission to review and approve premium rates applicable to dental plans issued in the Commonwealth. Under the bill, benefits are deemed to be r...
[Detail][Text][Discuss] | 2024-01-25
Stricken from docket by Labor and Commerce (18-Y 1-N) |
| VA | HB604 | Intro
Sine Die | Health insurance; coverage for polycystic ovary syndrome. Requires health insurers, health maintenance organizations, and corporations providing health care coverage subscription contracts to provide coverage for the treatment of polycystic ovary syn...
[Detail][Text][Discuss] | 2024-01-25
Tabled in Labor and Commerce (18-Y 3-N) |
| VA | SB202 | Intro
Sine Die | Health insurance; disclosure of summary health information. Requires, to the extent permitted by various protected health information privacy laws, a group health plan that has 50 or more participants to disclose information that summarizes the claim...
[Detail][Text][Discuss] | 2024-01-22
Failed to report (defeated) in Commerce and Labor (7-Y 8-N) |
| VA | SB376 | Intro
Sine Die | Health insurance; limit on cost-sharing payments for prescription drugs under certain plans. Requires each carrier that offers a health plan in either the individual or small group market to ensure that at least 50 percent of all health plans offered...
[Detail][Text][Discuss] | 2024-01-22
To Senate Commerce and Labor Committee |
| VA | SB376 | Intro
Prefile | Health insurance; limit on cost-sharing payments for prescription drugs under certain plans. Requires each carrier that offers a health plan in either the individual or small group market to ensure that at least 50 percent of all health plans offered...
[Detail][Text][Discuss] | 2024-01-22
To Senate Commerce and Labor Committee |
